Organization
GRACE CHRISTIAN COUNSELING CENTER OF CLARKSDALE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRI T. JACKSON (CERTIFIED TEMPERMENT COUNSELOR)
(662) 624-4303
Entity
Organization
Contact information
Practice address
230 ELM AVE, CLARKSDALE, MS 38614-3210
(662) 624-4303
Mailing address
230 ELM AVE, P. O. BOX 264, CLARKSDALE, MS 38614-3210
(662) 624-4303
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
MS
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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